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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Webinar recording presenting key findings from a chartbook that analyzes 41 states in 2021-2022 and identifies places and people in ambulance deserts, defined as locations that are more than 25 minutes from an ambulance station.
Additional links: Presentation Slides, Transcript
Author(s): Yvonne Jonk
Date: 06/2023
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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NHPCO Pediatric Facts and Figure, 2023 Edition
Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Type: Document
Sponsoring organization: National Hospice and Palliative Care Organization
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Rural Health on Life Support
Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers racial and ethnic disparities in severe maternal morbidity and mortality and the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Rural Health on Life Support - The State of America's Rural Health Systems
Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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The Impact of COVID-19 on CAH Financial Indicators
Describes the impact of the COVID-19 pandemic on Critical Access Hospital (CAH) financial indicators. Compares summary statistics on CAH financial indicators across eight categories in the six years prior to the pandemic (April 2015 - March 2020) to the same metrics during the pandemic (April 2020 - March 2022).
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Impact of COVID-19 Funding on Profitability of Critical Access Hospitals
Examines the impacts of COVID-19 Public Health Emergency (PHE) funding on Critical Access Hospitals (CAHs). Compares CAH operating margins in the six years prior to the pandemic (April 2015 - March 2020) to operating margins during the pandemic (April 2020 - March 2022). Offers estimates to what CAH profitability would have been if CAHs did not receive PHE funding.
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Capital Planning for Addressing Rural Health Needs
Recording of a June 2023 webinar discussing the connection between rural health topics and facility design. Profiles Desert Sage Health Center, a health center serving rural Idaho, and how it tailored the structure of its new facility to suit community needs. Outlines costs that should be considered when planning a capital project and how those costs may present unique challenges in rural areas. Free registration is required to access the webinar recording.
Additional links: Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Capital Link
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Development and Evaluation of the Delivery-Based HEALED Produce Rx Program for Uninsured Patients With Diabetes in Rural Eastern North Carolina
A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
Type: Document
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Differences in the Merit-Based Incentive Payment System (MIPS) Performance of Clinicians in Metropolitan and Nonmetropolitan Counties in 2018
Provides a brief overview of the Merit-Based Incentive Payment System (MIPS) and describes rural clinician performance in MIPS in 2018. Compares rural and urban MIPS performance scores, payment adjustments, and risk-adjusted standardized Medicare Spending per Beneficiary (MSPB). Also compares rural and urban MIPS performance by practice size and the proportion of racial/ethnic minorities served. Presents the most frequently reported MIPS measures by urban and rural practices.
Date: 06/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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